HomeMy WebLinkAbout15083 GOLDEN WEST - CofO (2)} A r
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTt N BEACH if 7 l 14 8
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NunrrrrrctczN eFnat
DEPARTMENT OF COMMUNIr"( DEVELOPMENT
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Address T_5_ a t-ol0enraes
- Distr;ct
Business Name A—CHTjD#8 VIEy,7 +{
Tel.
Business Type .Fi'r LDREN s S OPTICAL Ucc. Group
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BUILDING OWNER BUSINESS OWNERIMANAGER
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Name_. Name Katheryn Dabb5
Address Home 25035 Acacia !!
t Address
City Tel, c�,,. Lag4na Hills �5i�'-Q835.
Home e.
Construction —No. of Stories Occupant Load �� ��8&—����
f _ Sprinktered
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.This Certificate of Occupancy DEPARTMENT OF COMMUNITYDEVF'LOPMENT
SHALL BE posted in a conspicuous place on t the premises and shall not be removed ex- f j
cept by the Building Official by r}
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J1 APPLICATION FOR CERTIFICATE OF OCCUPANCY
�p CITY OF HUNTINGTON BEACH
DEPARTMENT OF DEVELOPMENT SERVICES
HUSITINMON SEAci. (PRINT OR TYPE ONLY, DATE
Address fa
Business Name W{GAS j,°iGc' TeL
f Business Type CN/C�i��c/Gyt_ Occ. Group
i� BUILDING OWNER Name BUSINESS OWNERWANAGER
Name '� � �i?t�./'�K-'
�I Home
Address — Address
/ '� s�rxr� 11446; Home Tel. 5 N-a
City TeJ. City--
(" THIS USE WOULD BE DESCPIBED AS.
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NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER CHANGE OF OCCUPANT
'EXISTING BU{LDiNG ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
. Indicate former use, if any
rfC.'/°_e. Occupancy Gr. Div. —
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SQUARE FT. OF BUILDING TO BE OCCUPIED
and a baanness license will not be issued until the building has
NOTICE; 1. Occupancy of any building is prohibited
been inspected and a certificale of ocrupancy is issued.
2. No electrical service will ba released for any ex:str'ig "building until the service has been inspt-.ted and
certified safe: All applicants for occupancy in 3n existing building are required to schedule an electrical
'fuse up' inspection in the Department of Deveiopmpnt Services at the time this apolicati.m is filed.
3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building
or premises in order to determine if a change may be made in the character of occupancy or use of the
building or premises which would place the building in a Cifferent division of the same group of occupancy
or in a different group of Occupancy, a change of occupancy inspection fee of $
shall be paid to the city,
A. Huntington Beach Fire Code Section 10.203 requireE that building numbo-i PAIst be a minimum of four
(A) inches in height with one half ('.<2? inch stroke, ana of a contrasting col: r rfom the background:' hese
numbers must be posted on your building in a location that is visible from t e
5. Huntington Beach Fire Code Sectioit 10.301 requires fire ext;nguishe: tint and distribution; per
the National Fire Protection Association pamphlet 10 (see reverse side).
(FOR OFFICE USE ONLY) � %_
ZONING_ --
SUPPLEMENTAL INFORMATION
OCCUPANCY GROUP 15 �--Z — PLAN CHECK NO, NO, PARKING SPACES
r HEALTH DEPT. APPROVAL .
OCCUPANT LOAD , '3 PERMIT NO. UT1LiTIE3 RELEASED
NO. OF STORIES ADMIN. ACTION
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CERTIFICATE OF OCCUPANCY FEE c7
APPRO BY DATE CHANGE OF USF OR OCCUPANCY FEE
TOTAL $
75-039REV. DEVELOPMENT r'—CRVICUES
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SUPPLEMENTAL INFORMATION
1. BUSINESS ADDRESS 37®!;r/GtJG-i'�'' Cam„ZG%
2. Person tt- intact in case of emergency:_ /.":4Tg,,,nd,
Telephor __amber: T71,54i ems$-c,?Ys
3. Does the building in question have electricity? af`es
C" No
a. If No, are you -requesting that the electricity be Oyes
turned on? ❑No
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4. , The building is sprinklered? p7 Oyes } -
C1 No i
5. Operations will produce dust/wood shavings or similar
material? 2YPs
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6. Operations will involve the repair or replacement of OYas
automobile parts? Milo
i� If yes:
(a) Describe the components repaired or replaced.
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(b) Does the operation involve the use of an open flame? OY s
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7 The business is drinking, dining or assembly use that will
result in an occupant load of more than 50_persons. 13 s
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S. The following best describes my operation:
Office Only
etas a'a_l`e
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Manufacturing/Distribution (describe process and end
product)
Restaurant Taco out FooFooc
Medical/Dental
Other 'describe}
(0562i) (12/8/86),
SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the following materia' J2 gYes
L Yam` ess in a� quantities: -- —
Material Quantity
1. Flammable liquids
Class I -A
Class I-B _
Class I-C _
2. Combustible liquids
Class II
_ Class 111-A
` 3. Combination flammable liquids
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'�. 4. Flammable gases
( 5. Liguefied flammable gases
6. Flammable fibers -loose
7. Flammable fibers baled
S. Flammable solids
` 9. Unstable materials
10. Corrosive liquids
11. Oxidizing material - gases
12. Oxidizing material liquids
13 Oxidizing material -- solids r --
14. Organic peroxides -
15. Nitronaethane (unstable materials)
16. Ammonium nitrate
17. Ammonium nitrate compound mixtures
containingmore than 60% nitrate
by weight
18. Highly toxic material and
Poisonous gas
19.,smokeless -powder
S
20. Black sportinowder
I hereby certify that the above information is true and correct to the
best of my/knowledge.
signature Date
(G562D?
(12/8/86')
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